Cataract Quiz: Why did this IOL decenter?

The patient underwent a combined cataract surgery with pars plana vitrectomy. The cataract surgery went well and even today, 1 month after surgery, the capsular bag looks to be intact. The IOL has decentered dramatically and the patient’s vision has deteriorated significantly. At this point the IOL dislocation will need to be addressed. Would you reposition this IOL? Or exchange it for another IOL? And why did the IOL decenter?

Click below to learn the answer to our Cataract Quiz:

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